Dr RYAN J ERLENBACH is a male medical professional, specializing in Nurse Practitioner. He graduated in 2014.
QUEENS DEVELOPMENT CORPORATION AND SUBSIDIARIES
599 FARRINGTON HWY
SUITE 201
KAPOLEI
HI
967072028
Tel: 8086917338
| Npi | 1629474069 |
| Pac Id | 8224352463 |
| Professional Enrollment Id | I20150119000256 |
| Last Name | ERLENBACH |
| First Name | RYAN |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | QUEENS DEVELOPMENT CORPORATION AND SUBSIDIARIES |
| Group Practice Pac Id | 7810912292 |
| Number Of Group Practice Members | 23 |
| Line 1 Street Address | 599 FARRINGTON HWY |
| Line 2 Street Address | SUITE 201 |
| Marker Of Address Line 2 Suppression | |
| City | KAPOLEI |
| State | HI |
| Zip Code | 967072028 |
| Phone Number | 8086917338 |
| Hospital Affiliation Ccn 1 | 120001 |
| Hospital Affiliation Lbn 1 | THE QUEENS MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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